NY DCA SELF CERTIFICATION
1-Jan-2016

Theatrical Employment Agency Self-Certification

The owner (e.g., sole proprietor, general partner, director, corporate officer, or shareholder owning 10% or more of company stock) must complete the appropriate Self-Certification for your agency.

If you place or attempt to place job applicants in theatrical engagements (e.g., actors, singers, models, directors, writers, musicians), you must complete the Theatrical Employment Agency Self-Certification.

Note: If the owner is not also the Employment Agency Manager, then the Employment Agency Manager must complete and certify PART II of the appropriate Self-Certification. The Employment Agency Manager is responsible for directing and operating the placement activities of the employment agency.


NY DCA Self Certification form Download here



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